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Basic Respiratory Virus PCR Panel

Maryland rates for HCPCS 87631

A molecular, genetic-based, laboratory test that checks a single respiratory sample for a small group of the most common viruses and other germs that cause cold, flu, or similar respiratory symptoms. It is a more limited version of a respiratory panel test, screening for fewer organisms than the broader multiplex versions.

Rates data updated July 2026.

How much does Basic Respiratory Virus PCR Panel cost?

$107

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $107 for this service. Most negotiated rates run $93.33 to $145.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $148 · 10th to 90th $60 to $309Professionalmedian $107 · 10th to 90th $76 to $229
$100$200$500$1Kfacility $148professional $107

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$309.03
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$107.15
Typical High
$316.23
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$114.82
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$102.33
Typical High
$275.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$169.82
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$74.13
Typical High
$131.83
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Maryland sits

The same service costs 2.8 times more in Nebraska than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maryland· 50th of 51

$107

NE $302DC $107

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.